Organization Active NPI

Westside Therapy

  • Marriage & Family Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1114526670
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WESTSIDE THERAPY
Practice address
4313 Golfers Cir E
Palm Beach Gardens, FL 33410-4609
Phone
(561) 214-4113
NPI assigned
Oct 25, 2020
Last updated
Oct 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Zipkin, LMFTNPI 1992052971
Title
Owner
Phone
(561) 214-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4313 Golfers Cir E
Palm Beach Gardens, FL 33410-4609

Mailing address

4313 Golfers Cir E
Palm Beach Gardens, FL 33410-4609
Phone (561) 214-4113

Other practice location 1

2419 E Commercial Blvd Ste 203
Fort Lauderdale, FL 33308-4042
Phone (561) 214-4113

National Provider Directory

National Provider Directory

Locations

2419 E Commercial Blvd
Ste 203
Ft Lauderdale, FL 33308
Phone (561) 214-4113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1114526670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 GOLFERS CIR E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104609",
            "telephone_number": "561-214-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 GOLFERS CIR E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104609",
            "telephone_number": "561-214-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2419 E Commercial Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084042",
            "country_code": "US",
            "telephone_number": "561-214-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTSIDE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "ZIPKIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-214-4113",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.